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Licensing details for: 14382

Name: A KIDS DENTIST DENTAL GROUP OF DR. SHAH AND ASSOCIATES

License Type: Fictitious Name Permit

Primary Status: Expired Primary Status Definition

Organization Classification: Corporation

Address of Record

5942 EDINGER AVE, STE 101
HUNTINGTON BEACH CA 92649
ORANGE county
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Practice Location

5942 EDINGER AVE, STE 101
HUNTINGTON BEACH CA 92649
ORANGE county
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Issuance Date

August 7, 2018

Expiration Date

August 31, 2021

Current Date / Time

June 6, 2025
10:2:35 AM

License Relationships

FNP Owners

License/Registration Role: Fictitious Name Permit

Related Party Role: Owners

Name: SHAH, SHALINI M

Address Not Disclosed

FNP to DDS or OMS

License/Registration Role: Fictitious Name Permit

Related Party Role: Must hold an active Dental License, or Oral Maxillofacial Surgery Permit

Name: SHAH, SHALINI M

License/Registration Type: Dentist License

License Number: 51304 Primary Status: Current - Active

Address :
5942 Edinger Ave Ste 101
HUNTINGTON BEACH CA 92649-1774
ORANGE COUNTY

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